Monika M. Safford
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View article: Prevention of Cardiovascular Disease Events and Deaths Among Black Adults Via Systolic Blood Pressure Equity
Prevention of Cardiovascular Disease Events and Deaths Among Black Adults Via Systolic Blood Pressure Equity Open
Importance There are disparities in blood pressure (BP) levels by race in the US. Objective To estimate the number of cardiovascular disease (CVD) events and deaths that could be prevented among non-Hispanic Black adults by achieving the s…
View article: Validation of the REGARDS Severe Sepsis Risk Score
Validation of the REGARDS Severe Sepsis Risk Score Open
There are no validated systems for characterizing long-term risk of severe sepsis in community-dwelling adults. We tested the ability of the REasons for Geographic and Racial Differences in Stroke-Severe Sepsis Risk Score (REGARDS-SSRS) to…
View article: Comparison of Short‐ and Long‐Term Cardiovascular Disease Risk Assessment Tools in US Young Adults
Comparison of Short‐ and Long‐Term Cardiovascular Disease Risk Assessment Tools in US Young Adults Open
Background In 2023, the American Heart Association published the Predicting Risk of Cardiovascular Disease Events (PREVENT) equations for estimating atherosclerotic cardiovascular disease (ASCVD) risk in adults aged 30 to 79 years. We comp…
View article: Long-term impacts of hurricanes on mortality among Medicare beneficiaries: evidence from Hurricane Sandy
Long-term impacts of hurricanes on mortality among Medicare beneficiaries: evidence from Hurricane Sandy Open
Objectives Hurricane-related flooding has long-term socioeconomic effects on impacted areas; however, little is known about the long-term health effects on vulnerable, older residents who remain in impacted neighborhoods. We examined morta…
View article: Development and Validation of an Incident Hypertension Risk Prediction Model for Young Adults
Development and Validation of an Incident Hypertension Risk Prediction Model for Young Adults Open
Background Identifying young adults at high risk of hypertension can improve blood pressure screening recommendations. Methods We developed models to predict incident hypertension using diverse contemporary cohorts of young adults aged 18 …
View article: Understanding Participant Perspectives Toward the Formation of a Participant Advisory Board Within the Reasons for Geographic and Racial Differences in Stroke Study: A National Qualitative Study
Understanding Participant Perspectives Toward the Formation of a Participant Advisory Board Within the Reasons for Geographic and Racial Differences in Stroke Study: A National Qualitative Study Open
Background Although often used to inform clinical trials and public health campaigns, academic–community partnerships have been less frequently used in the context of large, national epidemiologic studies. These partnerships could enhance …
View article: Social Determinants of Health and Cardiovascular Risk among Adults with Diabetes: The Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study (Diabetes Metab J 2024;48:1073-83)
Social Determinants of Health and Cardiovascular Risk among Adults with Diabetes: The Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study (Diabetes Metab J 2024;48:1073-83) Open
View article: POS0507 RANDOMIZED CONTROL TRIAL OF THE CARE RA PEER COACH INTERVENTION TO IMPROVE CARDIOVASCULAR RISK ASSESSMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS
POS0507 RANDOMIZED CONTROL TRIAL OF THE CARE RA PEER COACH INTERVENTION TO IMPROVE CARDIOVASCULAR RISK ASSESSMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS Open
View article: Association Between Life's Essential 8 and Cardiovascular, Cancer, and Other Cause Mortality
Association Between Life's Essential 8 and Cardiovascular, Cancer, and Other Cause Mortality Open
View article: Treatment Intensity, Prescribing Patterns, and Blood Pressure Control in Rural Black Patients with Uncontrolled Hypertension
Treatment Intensity, Prescribing Patterns, and Blood Pressure Control in Rural Black Patients with Uncontrolled Hypertension Open
View article: Greater Social Functioning Associated With Lower Depressive Symptomatology Among Black Belt African Americans Enrolled in the Southeastern Collaboration to Improve Blood Pressure Control Study.
Greater Social Functioning Associated With Lower Depressive Symptomatology Among Black Belt African Americans Enrolled in the Southeastern Collaboration to Improve Blood Pressure Control Study. Open
Objective: In many populations, higher social functioning is associated with lower depressive symptomatology, which in turn is associated with improved cardiovascular health. This study aimed to establish an assoc…
View article: Neighborhood characteristics and incident myocardial infarction in US older adults: evaluation in 2 nationwide cohorts
Neighborhood characteristics and incident myocardial infarction in US older adults: evaluation in 2 nationwide cohorts Open
Inconsistent findings on the associations of adverse neighborhood context with myocardial infarction (MI) or racial disparities in MI may reflect publication bias or chance. We compared results from harmonized analyses of the REasons for G…
View article: Social Determinants of Health and Incident Apparent Treatment‐Resistant Hypertension Among White and Black US Adults: The REGARDS Study
Social Determinants of Health and Incident Apparent Treatment‐Resistant Hypertension Among White and Black US Adults: The REGARDS Study Open
BACKGROUND: We examined the association of multilevel social determinants of health with incident apparent treatment-resistant hypertension (aTRH). METHODS AND RESULTS: We analyzed data from 2774 White and 2257 Black US adults from the REG…
View article: Statin Use Among Women and Men Following Coronary Artery Bypass Surgery
Statin Use Among Women and Men Following Coronary Artery Bypass Surgery Open
Background Limited data exist on sex differences in guideline‐recommended statin therapy for secondary prevention after coronary artery bypass surgery (CABG). We examined sex differences in statin use after CABG and the association between…
View article: Body Mass Index, Comorbidities, and Ambulatory Care Visits: The REGARDS Study
Body Mass Index, Comorbidities, and Ambulatory Care Visits: The REGARDS Study Open
Background Individuals with obesity have more ambulatory care usage than individuals with normal weight and overweight. There is limited information on whether this is consistent across provider specialties and whether comorbidities explai…
View article: The design and rationale of a multicenter real-world trial: The southeastern collaboration to improve blood pressure control in the US Black Belt – Addressing the triple threat
The design and rationale of a multicenter real-world trial: The southeastern collaboration to improve blood pressure control in the US Black Belt – Addressing the triple threat Open
View article: Social Determinants of Health and 30-Day Readmission After Acute Myocardial Infarction in the REGARDS Study
Social Determinants of Health and 30-Day Readmission After Acute Myocardial Infarction in the REGARDS Study Open
View article: Evaluation and Comparison of the PREVENT and Pooled Cohort Equations for 10‐Year Atherosclerotic Cardiovascular Risk Prediction
Evaluation and Comparison of the PREVENT and Pooled Cohort Equations for 10‐Year Atherosclerotic Cardiovascular Risk Prediction Open
Background We compared the atherosclerotic cardiovascular disease (ASCVD) risk prediction performance of the American Heart Association's Predicting Risk of Cardiovascular Disease Events (PREVENT) Base and PREVENT Full equations (includes …
View article: Patient Perceptions of Provider Race Concordance and Quality of Chronic Illness Care
Patient Perceptions of Provider Race Concordance and Quality of Chronic Illness Care Open
Background Black people are more likely to have hypertension and report lower quality of care than White people. Patient-provider race concordance could improve perceived quality of care, potentially lessening disparities. Objective Invest…
View article: Patient perspectives on educational needs in scleroderma-interstitial lung disease
Patient perspectives on educational needs in scleroderma-interstitial lung disease Open
Background: Systemic sclerosis is a chronic and rare connective tissue disease with multiorgan effects, including interstitial lung disease (ILD). Navigating systemic sclerosis-interstitial lung disease presents a challenge for patients du…
View article: State-level structural racism and incident coronary heart disease
State-level structural racism and incident coronary heart disease Open
Introduction Black Americans have greater coronary heart disease (CHD) burden than White Americans, disparities that are largely socially determined. Discriminatory societal practices that systematically disadvantage Black Americans are fo…
View article: Risk-enhancing factors and social determinants of health in risk assessment for atherosclerotic cardiovascular disease
Risk-enhancing factors and social determinants of health in risk assessment for atherosclerotic cardiovascular disease Open
Background The Pooled Cohort Equations (PCEs) do not accurately estimate atherosclerotic cardiovascular disease (ASCVD) risk in certain populations. The 2018 AHA/ACC cholesterol guideline identified risk-enhancing factors as a supplement t…
View article: Practice Facilitation and Peer Coaching for Uncontrolled Hypertension Among Black Individuals
Practice Facilitation and Peer Coaching for Uncontrolled Hypertension Among Black Individuals Open
Importance: Rural Black participants need effective intervention to achieve better blood pressure (BP) control. Objective: Among Black rural adults with persistently uncontrolled hypertension attending primary care clinics, to determine wh…
View article: Improving TRansitions ANd outcomeS for heart FailurE patients in home health CaRe (I-TRANSFER-HF): a type 1 hybrid effectiveness-implementation trial: study protocol
Improving TRansitions ANd outcomeS for heart FailurE patients in home health CaRe (I-TRANSFER-HF): a type 1 hybrid effectiveness-implementation trial: study protocol Open
This trial has been registered on ClinicalTrials.Gov (#NCT06118983). Registered on 10/31/2023, https://clinicaltrials.gov/study/NCT06118983?id=NCT06118983&rank=1 .
View article: Patient perspectives on knowledge gaps in hypersensitivity pneumonitis
Patient perspectives on knowledge gaps in hypersensitivity pneumonitis Open
Objectives Responding to prior research findings that lack of knowledge about their disease impacted patients’ quality of life, the objective of this study was to identify and prioritise information gaps about hypersensitivity pneumonitis …
View article: Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement
Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement Open
Objective The objective of this study is to outline the training of peer coaches in the Moving Well intervention, which was designed to reduce anxiety, depression, and pain catastrophizing in patients before and after total knee replacemen…
View article: Associations among claims-based care fragmentation, self-reported gaps in care coordination, and self-reported adverse events
Associations among claims-based care fragmentation, self-reported gaps in care coordination, and self-reported adverse events Open
View article: Annual Cost of Implementing Intensive Systolic Blood Pressure Goals in the United States
Annual Cost of Implementing Intensive Systolic Blood Pressure Goals in the United States Open
View article: Trajectory of Cognitive Decline After Incident Heart Failure Hospitalization: Findings From the REGARDS Study
Trajectory of Cognitive Decline After Incident Heart Failure Hospitalization: Findings From the REGARDS Study Open
Background Cognitive impairment is common among adults with heart failure (HF) and associated with poor outcomes. However, less is known about the trajectory of cognitive decline after a first HF hospitalization. We examined the rate of co…
View article: “It Attracts Your Eyes and Brain”: Refining Visualizations for Shared Decision-Making with Heart Failure Patients
“It Attracts Your Eyes and Brain”: Refining Visualizations for Shared Decision-Making with Heart Failure Patients Open
Background N-of-1 trials have emerged as a personalized approach to patient-centered care, where patients can compare evidence-based treatments using their own data. However, little is known about optimal methods to present individual-leve…